Active NPI
LSS of Madison LLC
- Skilled Nursing Facility
- Madison, WI
National Provider Identifier
1144329004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 3153
- Legal business name
- LSS OF MADISON LLC
- Doing business as
- BELMONT NURSING AND REHABILITATION CENTER
Belmont Health and Rehabilitation Center - Practice address
- 110 Belmont Road
Madison, WI 53714-3129 - Phone
- (608) 249-7391
- Fax
- (608) 249-7906
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric R Lunde
- Title
- Board Member
- Phone
- (612) 695-5618
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 3153 | WI | Primary |
Addresses
Primary practice location
110 Belmont Road
Madison, WI 53714-3129
Mailing address
110 Belmont Road
Madison, WI 53714-3129
Phone (608) 249-7391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20192700 | Medicaid | WI |
Other names 2
- BELMONT NURSING AND REHABILITATION CENTER
- Belmont Health and Rehabilitation Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0870184 | Belmont Nursing & Rehabilitation Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586390400000",
"number": "1144329004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 BELMONT ROAD",
"city": "MADISON",
"state": "WI",
"postal_code": "537143129",
"telephone_number": "608-249-7391",
"fax_number": "608-249-7906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 BELMONT ROAD",
"city": "MADISON",
"state": "WI",
"postal_code": "537143129",
"telephone_number": "608-249-7391",
"fax_number": "608-249-7906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LSS OF MADISON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A",
"authorized_official_last_name": "LUNDE",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "BOARD MEMBER",
"authorized_official_telephone_number": "612-695-5618"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WI",
"license": "3153",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20192700",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BELMONT NURSING AND REHABILITATION CENTER",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BELMONT NURSING AND REHABILITATION CENTER",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Belmont Health and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.